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~ Life Coaching Questionnaire ~
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COMMITMENT: 3 sessions @ 30 minutes each @ $199.95
 (It is necessary to commit to all of these sessions to be successful)

Filling out the following form is the first step to your Life Coaching experience.

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          What do you wish to get from having me as your coach?
  

          What is it you want to accomplish?

          How committed are you?

          What is your level of commitment to yourself on a scale of 1 to 10 (10 being the highest)

          What are you willing to do to make this happen?

          Are you willing to be open and honest with me?

          How is your life now?

          What does "happy" mean to you?

          What does "success" mean to you? 

          What else do you wish to work on?
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